NPIMap

Individual provider Active NPI

Paul Kovatis, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Franklin Lakes, NJ
National Provider Identifier
1669475083
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
25MA05561000 Issued in NJ
Practice address
784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone
(844) 777-0910
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA05561000 NJ
Orthopaedic Surgery Physician 207X00000X 25MA05561000 NJ
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25MA05561000 NJ Primary

Addresses

Primary practice location

784 Franklin Ave
Franklin Lakes, NJ 07417-1306

Mailing address

784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Other identifiers 5

IdentifierTypeStateIssuer
P409968OtherNJOXFORD #
5986397OtherNJAETNA PPO #
200027488OtherNJRR MDCR #
0817957OtherNJAETNA HMO #
512961OtherNJEMPIRE BC/BS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000417 NJ Practitioner - Orthopedic SurgeryPractitioner - Neurosurgery 5890719751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MPV New Jersey MD Services PCGroup PAC ID 5991097669, 146 clinicians

Practice addresses (Care Compare)

1 W Ridgewood Ave
Suite 301
Paramus, NJ 07652-2350
Phone (201) 445-1660

Hospital & facility affiliations

  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05561000NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Nov 1, 2024 Accepting new patients
Kayal Orthopaedic Center, P.C. Orthopaedic Surgery CurrentSince Nov 5, 2019 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Nov 1, 2024 Accepting new patients
Kayal Medical Group, LLC Orthopaedic Surgery PastSince Nov 5, 2019 Accepting new patients
Orthopedic Specialist of New Jersey PA Orthopaedic Surgery PastSince May 1, 2008 Accepting new patients
Nydic Open MRI of America-Paramus, LLC Past Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

1 W Ridgewood Ave
Ste 301
Paramus, NJ 07652
Phone (201) 444-7666

250 Old Hook Rd
Ste 401
Westwood, NJ 07675

Interoperability endpoints

  • Direct secure messaging: pkovatis278700@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1669475083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVATIS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05561000",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA05561000",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "25MA05561000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD #",
            "identifier": "P409968",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "5986397",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR #",
            "identifier": "200027488",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "0817957",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS #",
            "identifier": "512961",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.